Nur 265 Exam 2 Review Exam Questions With Correct Verified Answers | 100% Pass (A+ Certified)

1. The nurse is assessing a client who is suspected of having a pulmonary embolism (PE). Which of the following findings is consitient with this diagnosis? a. bradycardia b. asymmetrical chest expansion c. kussmual respirations d. cough: d. cough 2. The nurse is caring for a client who is 4 days postoperative and suddenly develops difficulty breathing and sharp chest pain. The nurse has called rapid response team, raised HOB, and applied oxygen to client. Which actions from the box below should the nurse take first? 1. auscualte the client's lung sounds 2. initiate continuous cardiac monitoring 3. prepare to administer IV alteplase 4. connect the client to a continuous pulse ox 2 / 43 5. apply bilateral antiemoblism stocking to the legs 6. assess the client’s skin color a. 1,4,5 b. 1,2,4,6 c. 2,3,5,6 d.3,4,6: b. 1,2,4,6 3. The nurse has provided discharge teaching to a clinet who developed a PE follwing a surgical procedure. The client will be taking newly prescribed warfarin at home. Which of the following client statements indicates a correct understanding of the teaching? a. "hard candy can be used if i developed a dry mouth while taking warfarin" b. "the warfarin will continue to break up the clot over the next several months" c. "i should avoid anything rectally, such as enemas or suppositories" 3 / 43 d. "i will take this medication for about 1-2 months": c. "i should avoid anything rectally, such as enemas or suppositories" 4. The nurse is caring for a clinet who appears to have developed a PE. Which of the following arterial blood gas (ABG), result would the nurse expect the client to initally have? a. pH=7.31; PaO2=73mm Hg; HCO3=22mEq/L; SaO2=85% b. pH=7.50; PaO2=79mm Hg; HCO3=23mEq/L; SaO2= 88% c. pH=7.35; PaO2=63mm Hg; HCO3=26mEq/L; SaO2=84% d. pH=7.45; PaO2=70mm Hg; HCO3=28mEq/L; SaO2=86%: b. pH=7.50; PaO2=79mm Hg; HCO3=23mEq/L; SaO2= 88% 5. The nurse is caring for the following assigned clients. The nurse should first see the client who has a. diabetes inipidus, polyuria, and a sodium level of 146meq/L b. hyperthyroidims and BP of 138/80 c. recieved heparin infusion in the last 10 days and has a platelet count of 4 / 43 90,000 d. cushing's disease and capillary blood glucose level of 142mg/dL: c. recieved heparin infusion in the last 10 days and has a platelet count of 90,000 6. The nurse is caring for a client who has a chest tube. Which assessment finding(s) from the box below requires the nurse to immediately notify the PHCP 1. continous bubbling in the suction control chamber 2. tracheal devitation 3. tidaling in the water seal chamber with breathing 4. 100mL of drainage within an hour 5. visibilty of the eyelets of chest tube6. low water level in water seal chamber a. 2,4,5 b. 1,2,4,6 c. 2,3,6 d. 1,3,6: a. 2,4,5 5 / 43 7. The nurse is assessing a client who had a chest tube placed 36 hours ago from the treatment of a pneumothorax. the nurse observes continuous bubbling in the water seal chamber. which of the following actions should the nusre take? a. turn on the suciton, assess lung sounds, and turn suction back on b. inform PHCP that there is a leak in system c. ensure that the drainage system is on the floor hanging on bed frame d. documnent that chest tube drainage system is operating properly: b. inform PHCP that there is a leak in system 8. The nurse working in the E